Carpinello S, Felton C J, Pease E A, DeMasi M, Donahue S
Division of Managed Care, New York State Office of Mental Health, Albany 12229, USA.
J Behav Health Serv Res. 1998 Aug;25(3):269-78. doi: 10.1007/BF02287466.
The organization, financing, and delivery of publicly funded behavioral health services are undergoing massive changes nationwide. Managed care principles and practices are being implemented widely and are being relied on increasingly to meet the challenges of containing costs and improving service effectiveness. To meet these goals, comprehensive systems are under development for measuring and reporting outcomes experienced by individuals who received services and for assessing the impact of managed care strategies on the service delivery system. This article presents an example from the Prepaid Mental Health Program in New York State. It highlights the development, implementation, and early experiences with the plan's performance management system for public sector managed behavioral health, a basis for continuous quality improvement activities and information reporting products such as report cards. Policy, administrative, and financial implications are illuminated.
全国范围内，公共资助的行为健康服务的组织、融资和提供正在经历巨大变革。管理式医疗的原则和做法正在广泛实施，并越来越多地被用于应对控制成本和提高服务效率的挑战。为实现这些目标，正在开发综合系统，以衡量和报告接受服务的个人所经历的结果，并评估管理式医疗策略对服务提供系统的影响。本文介绍了纽约州预付心理健康计划的一个例子。它重点介绍了该计划针对公共部门管理的行为健康的绩效管理系统的开发、实施和早期经验，该系统是持续质量改进活动和诸如成绩单等信息报告产品的基础。文中还阐述了政策、行政和财务方面的影响。
